Laserfiche WebLink
STATE OF CALIFORNIA Do Not Fill In e <br /> THE RESOURCES AGENCY __ <br /> o INAL �vi�t=i:.;WJ�i• � 1 DEPARTMENT OF WATER RESOURCES ® ' 57178 <br /> t1:DWR Pater Cope ;ee• Slate Well No31V `�c=-Z1A1 <br /> VR WELL DRILLERS REPORT 6_Z Z <br /> Other Well No <br /> (I) OWNER: f?u )3( I.� 1.0 6 v.�.�t. �1 h,r,t' (I 1) WELL LOG: C <br /> Namc--,, � - , ^ a C R� Ta N U 1 �A co; Total depth 1 96 ft. Depth of completed well 196 ft, <br /> Address+ i E. : a rn ey Lla.ne Formation: Describe by color,character,tics of malerial,and structure <br /> Locii, Calif. ft.to ft. <br /> (2) LOCATION OF WELL: 0 - 4 ter soil <br /> County Ban Jo a.e�u i2'1 Owner's number.if any 44 6 hard war <br /> Township,Range,and Section —•��`lg `� .J Sec a 22 J 2 hp,rdes«n tr_%•n e <br /> Distance from cities,roads,railroads.etc. S 0 u- L,'n S' u a o res ern e y 7P —•.,66 b rvo r.rri t i µ-r <br /> L.ar_-m 1 mile 'e.st Of C_emen U,c 56 — 84 'icF rri a,-- dst1c t^ <br /> (3) TYPE OF WORK (check): 84 - 104 s?.r, r• 7—ravel <br /> New Well Deepening ❑ Reconditioning ❑ Destroying ❑ 1011 140 rO;;.^ 1'•iri vie Cl <br /> If destruction,drseribrrrtaterial and procedure in Item 11. 1 1 40 17-6- f,Q.:..1 _ _1{ a?1�. <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 1 c. 1 �41 lc r i t t 1? C 1 <br /> Domestic [: Industrial ❑ Municipal ❑ Rotary ❑ 164 1 (?5 <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ] 196 - ? F.and ? r,n_veI <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> STEEL: OTHER: If gravel packed <br /> SINGLE ® DOUBLE ❑ <br /> Gage Diameter <br /> From To or of Fram To <br /> ft. Diam. Wall Bore ft. ft. <br /> 1 _ 12 <br /> 12 12 condu to r re <br /> Size of>hoe or well vin U+cv? <br /> Rt Site of anvel: <br /> )e,cribe mint Putt;•reld CONFIDENTIAL <br /> (7) PERFORATIONS OR SCREEN: Water Code Ser-.13752 <br /> Type of periorstiun or name of screen <br /> Perf. Rows <br /> From To per per Size <br /> ft. <br /> it. row ft. in.x in. <br /> (8) CONSTRUCTION: <br /> Was a aur{aee sanitary seal provided? Yes No ❑ To what depth 750 ft. <br /> Were any stria.ealed against pollution? Yes ❑ N.:t If ves,note depth of strata <br /> rom ft.to ft. <br /> From ft,to ft. Work started — 19 72 ,Completed _�_P r 19 2 <br /> derhod of aeaUne Rare ce70rt WELL DRILLER'S STATEMENT: 3 <br /> This well was drilled under my jurisdiction and this report is true to the best <br /> ;9) WATER LEVELS: of my knotuledge and belief. <br /> Depth at which water was first found, if known 120 ft. <br /> _.R r� Jr <br /> Standing aJohn I, Pan level before perfp <br /> cing, if known ft. NAME <br /> (Person,firm,or corporation) (Typed or printed) <br /> i <br /> -tsndin level after Derfpncine and developing {t, <br /> testLL TESTS: Address 11975 S Ilan Allen <br /> made? Yes ❑ No ❑ lI o,b whom? T' ^ ^ (g.+I <br /> Yes, y ���.,n c0 <br /> 'eld: x.1.1-in.with ft.drawdown after hrs. (SIGNED] <br /> ❑ (W,il Drill") <br /> �cmverature of water Was a chemical analysis made? Yes ❑ No <br /> iWas electric los made of well? Yes Cl No ❑ If yes,at"th copy License No. 1 2n774 Dater( 3-70 19?2 <br /> i <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE plate D-1 q <br />